A5102720994- Healthcare Policy and Management
- Pharmaceutical Practices and Patient Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Emergency and Acute Care Studies
- Retinal Diseases and Treatments
- Glaucoma and retinal disorders
- Primary Care and Health Outcomes
- Musculoskeletal pain and rehabilitation
- Geriatric Care and Nursing Homes
- Retinal Imaging and Analysis
- Intraocular Surgery and Lenses
- Retinal and Optic Conditions
- Health disparities and outcomes
- Patient Satisfaction in Healthcare
- Frailty in Older Adults
- Balance, Gait, and Falls Prevention
- Dementia and Cognitive Impairment Research
- Food Security and Health in Diverse Populations
- Pain Management and Opioid Use
- Healthcare Systems and Reforms
- Medication Adherence and Compliance
- Hip and Femur Fractures
- Injury Epidemiology and Prevention
- Chronic Disease Management Strategies
- Electronic Health Records Systems
Northwestern University
2016-2025
Health Services Research & Development
2016-2025
United States Department of Veterans Affairs
2015-2025
Edward Hines, Jr. VA Hospital
2016-2025
Northwestern Medicine
2025
Jesse Brown VA Medical Center
2023
Health Outcomes Solutions (United States)
2021-2022
Institute of Public Health Zadar
2019
Ophthalmology Associates (United States)
2005-2018
Center for Global Health
2017
Background/Objective: Recurring annual costs of caring for patients with chronic spinal cord injury (SCI) is a large economic burden on health care systems, but information SCI beyond the acute and initial postacute phase sparse. The objective this study was to establish frame reference estimate direct medical associated sample (ie, >2 years after injury).Methods: Patients were recruited from 3 Veterans Health Administration (VHA) facilities; baseline patient cross-referenced Decision...
Low health literacy is associated with higher care utilization and costs; however, no large-scale studies have demonstrated this in the Veterans Health Administration (VHA). This research evaluated association between veterans' their subsequent VHA costs across a three-year period.
To design and implement a tool that creates secure, privacy preserving linkage of electronic health record (EHR) data across multiple sites in large metropolitan area the United States (Chicago, IL), for use clinical research.The authors developed distributed software application performs standardized cleaning, preprocessing, hashing patient identifiers to remove all protected information. The seeded hash code combinations using Health Insurance Portability Accountability Act compliant...
Over the past two decades collaborative care model within primary has proved to be effective in improving quality, efficiency, and outcomes for older adults suffering from dementia depression. In collaboration with community partners, scientists Indiana University have implemented this at Healthy Aging Brain Center (HABC), a memory clinic that is part of Eskenazi Health, an integrated safety-net health system Indianapolis, Indiana. The HABC generates annual net cost savings up $2,856 per...
Background: Among physicians who perform endoscopic retrograde cholangiopancreatography (ERCP), the relationship between procedure volume and outcome is unknown. Objective: Quantify ERCP volume-outcome by measuring provider-specific failure rates, hospitalization other quality measures. Research Design: Retrospective cohort. Subjects: A total of 16,968 ERCPs performed 130 2001 2011, identified in Indiana Network for Patient Care. Measures: Physicians were classified their average annual Care...
The Aging Brain Care (ABC) Medical Home aims to improve the care, health outcomes, and medical costs of Medicare beneficiaries with dementia or depression across central Indiana. This population management program, funded by Centers for Medicaid Services Innovation Center, expanded an existing collaborative care program serve 1,650 older adults in a local safety-net hospital system. During first year, 20 full-time clinical staff were hired, trained, deployed deliver intervention. In 18...
To estimate the risk and long-term prognostic significance of 30-day readmission postdischarge a 4-year cohort elderly veterans first admitted to Medicare hospitals for treatment hip fractures (HFx), controlling comorbidities.Retrospective, national secondary data analysis.National Veterans Health Administration (VHA) facilities.The study was 41,331 with HFx eligible facility during 1999 2002.HFxs were linked all other VHA inpatient discharge files capture dual use. Logistic regression used...
Background: Pseudoexfoliation is a systemic disorder characterized by the deposition of extracellular matrix material. The microfibrillar material that gives rise to condition visible clinically in anterior segment eye, and also found other tissues, including blood vessels, skin, gallbladder, kidneys, lungs, heart. Aims: present study aims determine whether ocular pseudoexfoliation associated with selected cardiovascular diseases. Materials Methods: A cross-section comparison was conducted...
Complex medication regimens pose self-management challenges, particularly among populations with low levels of health literacy.
Background Hispanic Americans face disparities in access to kidney transplantation, particularly living donor transplantation (LDKT). This study compared characteristics of LDKT recipients before and after implementing the Kidney Transplant Program (HKTP) at Northwestern Medicines (NM) other centers. Methods The NM HKTP, initiated December 2006, delivers culturally linguistically competent congruent care. Program-specific data were used compare mean ratios non-Hispanic white LDKTs between...
To determine the incidence of ischemic cerebral stroke in 6-month periods preceding and following acute central retinal artery occlusion (CRAO) among Medicare beneficiaries. A retrospective cohort study with comparison group conducted for calendar year 2013. Patients CRAO were identified through National limited inpatient institutional outpatient datasets emergency services using ICD-9-CM code (362.31). hip fractures (ICD-9-CM 820–820.9) during same time period served as controls. Interval...
Heart disease is the leading cause of mortality in United States and contributes more than $320 billion annually health care costs lost productivity. Manufacturing employment associated with higher rates hypertension smoking. Many large manufacturers provide services to employees their family members through worksite centers (WHCs). Several quality improvement interventions for tobacco cessation have shown be effective community-based primary sites. The Healthy Hearts (HHM) study aims...
Purpose: To examine the association of race, ethnicity, and other social determinants health (SDH) on receipt optic nerve (ON) evaluation in accordance with National Quality Forum (NQF) American Academy Ophthalmology (AAO) guideline-based metrics. Methods: This was a retrospective cohort study consisting 13,582 patients POAG receiving care across 12 tertiary health. The odds ≥1 ON evaluations to monitor for glaucoma progression over 45 months follow-up evaluated. Results: White (61%) primary...
Prostate Imaging Reporting and Data System (PIRADS) v2.1 scoring with multiparametric MRI (mpMRI) has a pooled 90% negative predictive value (NPV). PSA density (PSAD) ≤0.15ng/ml/cm3 been shown to enhance mpMRI's NPV in non-Black men. Populations higher disease prevalence are known have lower NPVs. Given that Black men PCa prevalence, we evaluate sensitivity of mpMRI vs. assess possible performance differences. As an exploratory objective, investigate PSAD thresholds providing ≥90% We...
Background Adults in the US face significant disparities health as a result of social determinants (SDOH). While link between SDOH and mortality is well-established, their impact on outcomes after hospitalisation less understood. Methods Among adults aged 18–84 years hospitalised New York (NY) during period 2000–2009 California (CA) from 2000–2006, we examined association 1-year post-hospitalisation community-level combined index (comprising six component domains) using Kaplan-Meier survival...
Background The 5-Cog paradigm is a 5-minute brief cognitive assessment coupled with clinical decision support tool designed to improve clinicians’ early detection of impairment, including dementia, in their diverse older primary care patients. battery uses picture- and symbol-based assessments questionnaire. It low cost, simple, minimizes literacy bias, culturally fair. component the helps nudge appropriate provider response an abnormal battery. Objective objective our study evaluate...
In Brief Purpose: Uveitis and scleritis are the most serious ocular side effects of bisphosphonate therapy. The purpose this study was to determine 6-month rates uveitis/scleritis following dispensing bisphosphonates in a large veteran cohort. Methods: Two national databases (clinical pharmacy) for fiscal year (FY) 2006 were linked identify new diagnoses initial drugs. New FY identified using International Classification Diseases, Version 9, Clinical Modification (ICD-9-CM), cohort veterans...